Multidisciplinary Pain Center, School of Medicine, Aichi Medical University, 21 Karimata, Nagakutecho, Aichigun, Aichi 480-1195, Japan.
J Anesth. 2013 Apr;27(2):298-301. doi: 10.1007/s00540-012-1501-8. Epub 2012 Oct 16.
We report on the use of pulsed radiofrequency (RF) within the plexus for the management of intractable pain in three patients with metastatic or invasive plexopathy. The patients were a 38-year-old woman with a history of breast cancer 6 years earlier whose computed tomography (CT) scans revealed a mass lesion at the infraclavicular part of the right brachial plexus, a 68-year-old man diagnosed with advanced lung cancer whose CT scans revealed a bone metastasis in the right humerus invading the axillary region of the right brachial plexus, and a 67-year-old woman diagnosed with advanced lung cancer whose CT scans revealed a bone metastasis in the left humerus invading the axillary region of the left brachial plexus. Ultrasound-guided pulsed RF was performed within the interscalene brachial plexus. During the follow-up period, their intractable pain was moderately controlled.
我们报告了在丛内使用脉冲射频（RF）治疗 3 例转移性或侵袭性丛病致难治性疼痛的情况。这 3 例患者分别为：1 例 38 岁女性，6 年前患有乳腺癌，CT 扫描显示右侧锁骨下臂丛有一肿块病变；1 例 68 岁男性，诊断为晚期肺癌，CT 扫描显示右侧肱骨的骨转移灶侵犯右侧臂丛腋窝区；1 例 67 岁女性，诊断为晚期肺癌，CT 扫描显示左侧肱骨的骨转移灶侵犯左侧臂丛腋窝区。在超声引导下对锁骨下臂丛丛内进行了脉冲 RF 治疗。在随访期间，他们的难治性疼痛得到了一定程度的控制。
